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General NPI Number Information
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NPI Number | 1760698302
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Entity Type | Organization
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Legal Business Name | CHERRY TREE MEDICAL ASSOCIATES PHYSICAL THERAPY
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 20 HIGHLAND PARK DR
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City | UNIONTOWN
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State | PA
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Zip | 15401-8922
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Country | US
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Telephone | 724-438-1810
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Fax | 724-438-2011
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Provider Business Mailing Address
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Address Line | 20 HIGHLAND PARK DR
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City | UNIONTOWN
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State | PA
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Zip | 15401-8922
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Country | US
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Telephone | 724-438-1810
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Fax | 724-438-2011
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | MR. KEVIN S MASNERI
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Credential | PT
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Telephone | 724-438-1810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT008488L
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License Number State | PA
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